Provider Demographics
NPI:1659146256
Name:KEBEIKS, EILEEN
Entity Type:Individual
Prefix:MISS
First Name:EILEEN
Middle Name:
Last Name:KEBEIKS
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15569 HUMMEL RD
Mailing Address - Street 2:
Mailing Address - City:BROOKPARK
Mailing Address - State:OH
Mailing Address - Zip Code:44142-1950
Mailing Address - Country:US
Mailing Address - Phone:440-213-4207
Mailing Address - Fax:
Practice Address - Street 1:19885 DRAKE RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44149-6833
Practice Address - Country:US
Practice Address - Phone:440-213-4207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-24
Last Update Date:2023-11-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health